Joan,
Your decision making skills are not leaving you. You just need a self-confidence booster. :smile:
As confusing and frustrating as this diabetes thing is, it isn't rocket science. It's just a big huge stressful pain in the backside. Lucy's numbers since you upped to 1.2 are good numbers. You've just been faced with a couple of confusing PS numbers that have been lower than you expected to see, right? The reduced dose the other night worked fine. So will tonight's .4u.
What I was trying to communicate (on my tablet which takes too long to type on) earlier was this -
When you see a number at shot time that is lower than any other number you've seen since the last shot, one thing you want to know before shooting is whether the number is rising, or whether it's been dropping all day long. The only way to know that is to stall the shot, but don't add food into the equation. Food is supposed to cause an increase in BG. So if you feed, it should go up. But you still don't know if it was coming up or not before that food. So it just confuses the issue.
OK, for this cycle - you would expect the number to go up from the food. And you would expect it to go down some due to the shot. So what you do is check 3 or 4 hours after the shot, to see if (and how much) it drops. If you see a significant drop by that time, then you can expect it to keep coming down until nadir time. There are two courses of action at that point.
1 - you just leave things alone, and keep testing every hour or so, to look for a low number. If it gets lower than you feel comfortable with, you feed her some higher carb canned food, just a spoonful or two, and that should "buffer" the drop and get her past her nadir without going too low.
Or
2 - you just feed her a snack of her normal food at +3 or +4, and that should slow the drop or stop it.
Those options are both okay, and which one you choose depends on how comfortable you are with "low" numbers. It also depends on what your schedule looks like for the rest of the cycle. If you need to go to sleep because you're a normal mortal human like the rest of us :lol: , then you can "abort" the cycle by feeding to keep the numbers from going low and keeping you up all night. If it's the middle of the day, and you're going to be around to test and keep an eye on her, then you can be less conservative and test and let the cycle go where it's going. Only intervene if you feel you need to. The important thing is to gather data if that is practical, so that in the future, you have a better idea of what a dose, or food, will do over a 12 hour cycle. It only gets "scary" when you see a 40 or 50 on the meter that makes your eyes bug out and your heart beat a little faster. It also depends on when that low number happens in a cycle. If it happens at +4, then it's a bit more of a concern than if it happens at +6 or +7 when it should be at or past nadir time.
The important thing to remember is that food can be your biggest ally when you see an uncomfortably low number. As long as you have the supplies you need, and you're watching, Lucy is going to be fine.
Chin up!
Carl